WO2016028965A1 - Nanoparticules présentant des auto-antigènes ciblant des facteurs immunitaires auto-réactifs et leurs utilisations - Google Patents
Nanoparticules présentant des auto-antigènes ciblant des facteurs immunitaires auto-réactifs et leurs utilisations Download PDFInfo
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/0005—Vertebrate antigens
- A61K39/0008—Antigens related to auto-immune diseases; Preparations to induce self-tolerance
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/385—Haptens or antigens, bound to carriers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/34—Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyesters, polyamino acids, polysiloxanes, polyphosphazines, copolymers of polyalkylene glycol or poloxamers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/51—Nanocapsules; Nanoparticles
- A61K9/5107—Excipients; Inactive ingredients
- A61K9/513—Organic macromolecular compounds; Dendrimers
- A61K9/5146—Organic macromolecular compounds; Dendrimers obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, polyamines, polyanhydrides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/51—Nanocapsules; Nanoparticles
- A61K9/5107—Excipients; Inactive ingredients
- A61K9/5176—Compounds of unknown constitution, e.g. material from plants or animals
- A61K9/5184—Virus capsids or envelopes enclosing drugs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
- A61K2039/55511—Organic adjuvants
- A61K2039/55555—Liposomes; Vesicles, e.g. nanoparticles; Spheres, e.g. nanospheres; Polymers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/60—Medicinal preparations containing antigens or antibodies characteristics by the carrier linked to the antigen
- A61K2039/6006—Cells
Definitions
- the present invention relates to methods and compositions for treating autoimmune disease. More particularly, the invention relates to a method of use of compositions comprising nanoparticles that display self-antigen to target auto-reactive components of autoimmune disease.
- Autoimmune diseases are diseases in which the body's own immune system is deregulated and mounts an attack against the body's own healthy cells and tissues. Autoimmune diseases can target and damage any organ system of the body and can be a result of overactive T cells, B cells or both in combination. In addition to the cellular activity, almost all autoimmune diseases have established auto-antibodies known to be involved in some way in the disease process. In several of these autoimmune conditions (pemphigus vulgaris, bullous pemphigoid, myasthenia gravis, Guillain-Barre syndrome, anti-phospholipid syndrome, autoimmune hemolytic anemia and immune thrombocytopenic purpura) the specific role that autoantibodies play is known and established.
- the field of rheumatology is in great need of new, novel therapeutics that target areas of disease with ideally far less significant off- target effects or side effects which include reactivation of latent tuberculosis, progressive multifocal leukoencephalopathy (PML) and severe immunosuppression among others.
- PML progressive multifocal leukoencephalopathy
- the invention provides compositions, and methods of use thereof, comprising nanoparticles displaying self-antigens to target auto-reactive components of autoimmune disease (immunoglobulins, B cells and T cells).
- autoimmune disease immunoglobulins, B cells and T cells.
- Detailed descriptions of certain embodiments of the composition and nanoparticles are provided in WO2013/052167 and US Publication No. 20130337066, the entire contents of which are incorporated by reference herewith.
- the invention provides red blood cell (RBC) membrane-cloaked nanoparticles functionalized with RBC antigens, to absorb anti-RBC antibodies and prevent their binding to RBCs.
- RBC red blood cell
- DAT Direct Antibody Test
- AIHA autoimmune hemolytic anemia
- Nanoparticles coated in mouse RBC were co-incubated with anti-mouse RBC antibodies for 1 hour and then a standard Coomb's test was carried out. Results demonstrate the ability to neutralize the RBC antibody by preventing macroscopic and microscopic agglutination.
- the binding capacity of the membrane coated nanoparticles for absorbed antibody was performed. Results demonstrate a saturation capacity of approximately 60 ⁇ g of antibody per 250 ⁇ g of nanoparticles. Specificity between the anti-RBC antibodies and RBC antigens displaying nanoparticles was also demonstrated. [0009]
- the invention further provides that the nanoparticles can also be loaded with cytotoxic drugs for targeted cell killing or with immune-tolerizing compounds to normalize the immune regulation.
- the invention provides that administration of the RBC antigen displaying nanoparticles reduces anemia symptoms upon anti-RBC antibody injection in in vivo studies.
- the present invention further provides that the inventive nanoparticle comprises a releasable cargo that can be located in any place inside or on the surface of the nanoparticle.
- a trigger for releasing the releasable cargo from the inventive nanoparticle includes, but is not limited to, contact between the nanoparticle and a target cell, tissue, organ or subject, or a change of an environmental parameter, such as the pH, ionic condition, temperature, pressure, and other physical or chemical changes, surrounding the nanoparticle.
- the releasable cargo comprises one or more therapeutic agent, prophylactic agent, diagnostic or marker agent, prognostic agent, e.g., an imaging marker, or a combination thereof.
- the releasable cargo is a metallic particle, a polymeric particle, a dend rimer particle, or an inorganic particle.
- the nanoparticle of the present invention comprises the cellular plasma membrane derived from a red blood cell and an inner core comprising poly(lactic-co-glycolic acid) (PLGA), wherein the nanoparticle substantially lacks hemoglobin.
- the present nanoparticle can lack, in terms of types and/or quantities, at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99% or 100% of the hemoglobin of the red blood cell from which the plasma membrane is derived.
- Such inventive nanoparticle has a half-life in blood circulation in vivo at least about 2-5 times the half-life of a polyethylene glycol (PEG)-coated, comparable nanoparticle. In certain embodiments, such inventive nanoparticle has a half-life in blood circulation in vivo for at least about 5 to about 40 hours or longer.
- PEG polyethylene glycol
- the inventive nanoparticle substantially lacks immunogenicity to a species or subject from which the cellular membrane is derived.
- the present nanoparticle can lack, in terms of types and/or quantities, at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99% or 100% of the immunogenicity to a species or subject from which the cellular membrane is derived.
- the present invention further provides a medicament delivery system, and a pharmaceutical composition comprising the inventive nanoparticle.
- the medicament delivery system and the pharmaceutical composition of the present invention further comprise one or more additional active ingredient and a medically or pharmaceutically acceptable carrier or excipient that can be administered along with or in combination with the nanoparticle of the present invention.
- the present invention further provides a method for treating and/or preventing an autoimmune disease or condition in a subject in need using the inventive nanop articles, the medicament delivery system, or the pharmaceutical composition comprising the same.
- the cellular membrane of the nanoparticle used for the inventive method is derived from a cell of the same species of the subject or is derived from a cell of the subject.
- the cellular membrane of the nanoparticle used for the inventive method is derived from a red blood cell of the same species of the subject and the red blood cell has the same blood type of the subject.
- the cellular membrane of the nanoparticles used for the inventive methods is derived from a variety of biological membranes and/or cellular component as described below.
- the nanoparticle, the medicament delivery system, or the pharmaceutical composition is administered via any suitable administration route.
- the nanoparticle, the medicament delivery system, or the pharmaceutical composition can be administered via an oral, nasal, inhalational, parental, intravenous, intraperitoneal, subcutaneous, intramuscular, intradermal, topical, or rectal route.
- the nanoparticle is administered via a medicament delivery system.
- the inventive method further comprises administering another active ingredient, or a pharmaceutically acceptable carrier or excipient, to the subject in need.
- the inventive method further provides that the nanoparticle of the present invention can be administered systemically or to a target site of the subject in need. Use of an effective amount of nanoparticles of the present invention for the manufacture of a medicament for treating or preventing an autoimmune disease or condition in a subject in need is also provided.
- the present invention provides for a method for treating or preventing an autoimmune disease or condition in a subject, which method comprises administering, to a subject in need, or to cells of said subject, an effective amount of a nanoparticle comprising a) an inner core comprising a non-cellular material, b) an outer surface comprising a cellular membrane comprising a self-antigen that targets an autoreactive component of said autoimmune disease or condition, wherein when said cellular membrane is derived from a red blood cell, said method is not used for treating or preventing an autoimmune hemolytic disease or condition in said subject.
- the present invention is directed to a use of an effective amount of a nanoparticle for the manufacture of a medicament for treating or preventing an autoimmune disease or condition in a subject, wherein said nanoparticle comprises a) an inner core comprising a non-cellular material, b) an outer surface comprising a cellular membrane comprising a self-antigen that targets an auto-reactive component of said autoimmune disease or condition, and when said cellular membrane is derived from a red blood cell, said medicament is not used for treating or preventing an autoimmune hemolytic disease or condition in said subject.
- the present invention provides for a combination for treating or preventing an autoimmune disease or condition in a subject, which combination comprises an effective amount of a nanoparticle and an effective amount of a second prophylactic or therapeutic agent for treating or preventing an autoimmune disease or condition in a subject, wherein said nanoparticle comprises a) an inner core comprising a non-cellular material, b) an outer surface comprising a cellular membrane comprising a self-antigen that targets an auto-reactive component of said autoimmune disease or condition, and when said cellular membrane is derived from a red blood cell, said combination is not used for treating or preventing an autoimmune hemolytic disease or condition in said subject.
- the present invention also provides for a pharmaceutical composition comprising the combination and a method for treating or preventing an autoimmune disease or condition in a subject using the combination or the pharmaceutical composition comprising the combination.
- the present nanop articles, medicament delivery systems, pharmaceutical compositions and methods can be used to deliver the exemplary medications listed in the Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations (Current through March 2012) published by the U.S. Food and Drug Administration, the exemplary medications listed in The Merck Index (a U.S. publication, the printed 14th Edition, Whitehouse Station, N.J., USA) and its online version (The Merck Index Online SM , Last Loaded on Web: Tuesday, May 01 , 2012), and the exemplary medications listed in Biologies Products & Establishments published by the U.S. Food and Drug Administration, and can be used to treat or prevent the corresponding diseases and disorders.
- the Merck Index a U.S. publication, the printed 14th Edition, Whitehouse Station, N.J., USA
- the Merck Index Online SM Last Loaded on Web: Tuesday, May 01 , 2012
- Biologies Products & Establishments published by the U.S. Food and Drug Administration
- the present disclosure relates to U.S. Application Serial No. 13/827,906, filed March 14, 2013, International Application No. PCT/US2012/039411 , filed May 24, 2012 and published as WO 2013/052167 A2 and U.S. provisional application Serial No. 61/492,626, filed June 2, 2011. The contents of the above applications are incorporated by reference in their entireties.
- Figure 1 Schematics of self-antigen displaying nanoparticles and its application in treating auto-reactive immune factors.
- FIG. 1 Fluorescently labeled RBC membrane cloaked nanoparticles exhibit superior affinity to anti-glycophorin.
- Anti-glycophorin A hybridoma cells as compared to anti-measles hybridoma cells.
- the superior affinity can be attributed to the b-cell receptor specific to glycophorin A, which is an antigen on red blood cell membranes.
- FIGS 3A-3B Schematic representation of RBC antibody nanosponges (RBC-ANS) neutralizing anti-RBC antibodies (anti-RBC).
- RBC-ANS RBC antibody nanosponges
- Anti-RBC Anti-RBC opsonize RBCs for extravascular hemolysis, via phagocytosis, as observed in autoimmune hemolytic anemia and drug-induced anemia.
- Figures 4A-4F In vitro characterization of RBC-ANS.
- Figure 4(B) Size and surface zeta-potential of pure PLGA cores, RBC-ANS, and RBC-ANS bound with anti-RBC.
- Figure 4(C). 250 ⁇ g of RBC-ANS incubated with 5 serial dilutions of fluorescent anti-RBC demonstrated particle saturation at ⁇ 27 ⁇ g of antibody, corresponding to -9:1 particle/antibody mass ratio.
- Figure 4(D). Equivalent amounts of RBC-ANS incubated with anti-RBC or anti-Fc demonstrated significantly greater specific binding as compared to nonspecific binding.
- Figures 5A-5I In vitro dose-dependent neutralization and stability of RBC- ANS/anti-RBC binding.
- Figure 5(A). Flow-cytometry histograms of RBC-ANS (from left to right: 1000, 500, 250, 100, 50 and 0 ⁇ g) pre-incubated with 50 ⁇ g FITC-anti-RBC prior to mixing with 5% RBC solution demonstrated dose-dependent neutralization of anti- RBC.
- Figure 5(B). Mean fluorescence intensity of samples in Figure 5(A).
- Figure 5(C) Mean fluorescence intensity of samples in Figure 5(A).
- FIGS 6A-6C In vivo binding stability of RBC-ANS and anti-RBC.
- FIGS 7A-7C In vivo neutralization of anti-RBC by RBC-ANS.
- RBC-ANS do not elicit autoimmune antibodies against RBCs.
- Six weeks following administration, ELISA analysis of serum from mice receiving RBC-ANS plus anti-RBC, anti-RBC alone, or PBS showed no observable elevation of anti-RBC titer as compared to controls.
- the term "and/or" when used in a list of two or more items, means that any one of the listed items can be employed by itself or in combination with any one or more of the listed items.
- the expression “A and/or B” is intended to mean either or both of A and B, i.e. A alone, B alone or A and B in combination.
- the expression “A, B and/or C” is intended to mean A alone, B alone, C alone, A and B in combination, A and C in combination, B and C in combination or A, B, and C in combination.
- Cellular Membrane refers to a biological membrane enclosing or separating structure acting as a selective barrier, within or around a cell or an emergent viral particle.
- the cellular membrane is selectively permeable to ions and organic molecules and controls the movement of substances in and out of cells.
- the cellular membrane comprises a phospholipid uni- or bilayer, and optionally associated proteins and carbohydrates.
- the cellular membrane refers to a membrane obtained from a naturally occurring biological membrane of a cell or cellular organelles, or one derived therefrom.
- naturally occurring refers to one existing in nature.
- derived therefrom refers to any subsequent modification of the natural membrane, such as isolating the cellular membrane, creating portions or fragments of the membrane, removing and/or adding certain components, such as lipid, protein or carbohydrates, from or into the membrane taken from a cell or a cellular organelle.
- a membrane can be derived from a naturally occurring membrane by any suitable methods. For example, a membrane can be prepared or isolated from a cell or a virus and the prepared or isolated membrane can be combined with other substances or materials to form a derived membrane.
- a cell or virus can be recombinantly engineered to produce "non-natural" substances that are incorporated into its membrane in vivo, and the cellular or viral membrane can be prepared or isolated from the cell or the virus to form a derived membrane.
- the unilamellar or multilamellar cellular membrane of the nanoparticles can be further modified to be saturated or unsaturated with other lipid components, such as cholesterol, free fatty acids, and phospholipids, also can include endogenous or added proteins and carbohydrates, such as cellular surface antigen. In such cases, an excess amount of the other lipid components can be added to the membrane wall which will shed until the concentration in the membrane wall reaches equilibrium, which can be dependent upon the nanoparticle environment. Membranes may also comprise other agents that may or may not increase an activity of the nanoparticle. In other examples, functional groups such as antibodies and aptamers can be added to the outer surface of the membrane to enhance site targeting, such as to cell surface epitopes found in cancer cells.
- the membrane of the nanoparticles can also comprise particles that can be biodegradable, cationic nanoparticles including, but not limited to, gold, silver, and synthetic nanoparticles.
- Synthetic or artificial membrane refers to a man-made membrane that is produced from organic material, such as polymers and liquids, as well as inorganic materials. A wide variety of synthetic membranes are well known in the art.
- Viral membrane As used herein, the term “membrane derived from a virus” refers to viral envelopes that cover the nucleic acid or protein capsids of a virus, and typically contain cellular membrane proteins derived from portions of the host cell membrane (phospholipid and proteins) and include some viral glycoproteins. The viral envelop fuses with the host's membrane, allowing the capsid and viral genome to enter and infect the host.
- Nanoparticle refers to nanostructure, particles, vesicles, or fragments thereof having at least one dimension (e.g., height, length, width, or diameter) of between about 1 nm and about 10 ⁇ . For systemic use, an average diameter of about 50 nm to about 500 nm, or 100 nm to 250 nm may be preferred.
- the terms “nanostructure” includes, but is not necessarily limited to, particles and engineered features. The particles and engineered features can have, for example, a regular or irregular shape. Such particles are also referred to as nanop articles.
- the nanoparticles can be composed of organic materials or other materials, and can alternatively be implemented with porous particles.
- the layer of nanoparticles can be implemented with nanoparticles in a monolayer or with a layer having agglomerations of nanoparticles.
- the invention contemplates any nanoparticles now known and later developed that can be coated with the membrane described herein.
- compositions as used herein refer to the beneficial biological activity of a substance on living matter and, in particular, on cells and tissues of the human body.
- a "pharmaceutically active agent” or “drug” is a substance that is pharmaceutically active and a “pharmaceutically active ingredient” (API) is the pharmaceutically active substance in a drug.
- compositions that are safe for use in animals, and more particularly in humans and/or non-human mammals.
- compositions such as the multi-drug conjugates, in the present disclosure.
- a pharmaceutically acceptable salt is any salt which retains the activity of the parent compound and does not impart any deleterious or undesirable effect on a subject to whom it is administered and in the context in which it is administered.
- Pharmaceutically acceptable salts may be derived from amino acids including, but not limited to, cysteine.
- a "pharmaceutically acceptable salt” is intended to mean a salt of a free acid or base of a compound represented herein that is non-toxic, biologically tolerable, or otherwise biologically suitable for administration to the subject. See, generally, Berge, et al., /. Pharm. Sci. , 1977, 66, 1-19.
- Preferred pharmaceutically acceptable salts are those that are pharmacologically effective and suitable for contact with the tissues of subjects without undue toxicity, irritation, or allergic response.
- a compound described herein may possess a sufficiently acidic group, a sufficiently basic group, both types of functional groups, or more than one of each type, and accordingly react with a number of inorganic or organic bases, and inorganic and organic acids, to form a pharmaceutically acceptable salt.
- Examples of pharmaceutically acceptable salts include sulfates, pyrosulfates, bisulfates, sulfites, bisulfites, phosphates, monohydrogen-phosphates, dihydrogenphosphates, metaphosphates, pyrophosphates, chlorides, bromides, iodides, acetates, propionates, decanoates, caprylates, acrylates, formates, isobutyrates, caproates, heptanoates, propiolates, oxalates, malonates, succinates, suberates, sebacates, fumarates, maleates, butyne-l ,4-dioates, hexyne-l ,6-dioates, benzoates, chlorobenzoates, methylbenzoates, dinitrobenzoates, hydroxybenzoates, methoxybenzoates, phthalates, sulfonates, methylsulfonates, propyls
- compositions refers to an excipient, diluent, preservative, solubilizer, emulsifier, adjuvant, and/or vehicle with which a compound, such as a multi-drug conjugate, is administered.
- Such carriers may be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents.
- Antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; and agents for the adjustment of tonicity such as sodium chloride or dextrose may also be a carrier.
- Methods for producing compositions in combination with carriers are known to those of skill in the art.
- the language "pharmaceutically acceptable carrier” is intended to include any and all solvents, dispersion media, coatings, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration. The use of such media and agents for pharmaceutically active substances is well known in the art.
- Phospholipid refers to any of numerous lipids contain a diglyceride, a phosphate group, and a simple organic molecule such as choline.
- phospholipids include, but are not limited to, Phosphatidic acid (phosphatidate) (PA), Phosphatidylethanolamine (cephalin) (PE), Phosphatidylcholine (lecithin) (PC), Phosphatidylserine (PS), and Phosphoinositides which include, but are not limited to, Phosphatidylinositol (PI), Phosphatidylinositol phosphate (PIP), Phosphatidylinositol bisphosphate (PIP2) and Phosphatidylinositol triphosphate (PIP3).
- PC include DDPC, DLPC, DMPC, DPPC, DSPC, DOPC, POPC, DRPC, and DEPC as defined in the art.
- therapeutically effective amount refers to those amounts that, when administered to a particular subject in view of the nature and severity of that subject' s disease or condition, will have a desired therapeutic effect, e.g. , an amount which will cure, prevent, inhibit, or at least partially arrest or partially prevent a target disease or condition. More specific embodiments are included in the sections below.
- therapeutically effective amount or “effective amount” refers to an amount of a therapeutic agent that when administered alone or in combination with an additional therapeutic agent to a cell, tissue, or subject is effective to prevent or ameliorate the disease or condition such as an infection or the progression of the disease or condition.
- a therapeutically effective dose further refers to that amount of the therapeutic agent sufficient to result in amelioration of symptoms, e.g., treatment, healing, prevention or amelioration of the relevant medical condition, or an increase in rate of treatment, healing, prevention or amelioration of such conditions.
- a therapeutically effective dose refers to that ingredient alone.
- a therapeutically effective dose refers to combined amounts of the active ingredients that result in the therapeutic effect, whether administered in combination, serially or simultaneously.
- Treating” or “treatment” or “alleviation” refers to therapeutic treatment wherein the object is to slow down (lessen) if not cure the targeted pathologic condition or disorder or prevent recurrence of the condition.
- a subject is successfully “treated” if, after receiving a therapeutic amount of a therapeutic agent, the subject shows observable and/or measurable reduction in or absence of one or more signs and symptoms of the particular disease. Reduction of the signs or symptoms of a disease may also be felt by the patient.
- a patient is also considered treated if the patient experiences stable disease.
- treatment with a therapeutic agent is effective to result in the patients being disease-free 3 months after treatment, preferably 6 months, more preferably one year, even more preferably 2 or more years post treatment.
- combination refers to either a fixed combination in one dosage unit form, or a kit of parts for the combined administration where a compound and a combination partner (e.g., another drug as explained below, also referred to as “therapeutic agent” or “co-agent”) may be administered independently at the same time or separately within time intervals, especially where these time intervals allow that the combination partners show a cooperative, e.g., synergistic effect.
- a combination partner e.g., another drug as explained below, also referred to as “therapeutic agent” or “co-agent”
- co-administration or “combined administration” or the like as utilized herein are meant to encompass administration of the selected combination partner to a single subject in need thereof (e.g., a patient), and are intended to include treatment regimens in which the agents are not necessarily administered by the same route of administration or at the same time.
- pharmaceutical combination as used herein means a product that results from the mixing or combining of more than one active ingredient and includes both fixed and non- fixed combinations of the active ingredients.
- fixed combination means that the active ingredients, e.g., a compound and a combination partner, are both administered to a patient simultaneously in the form of a single entity or dosage.
- non-fixed combination means that the active ingredients, e.g., a compound and a combination partner, are both administered to a patient as separate entities either simultaneously, concurrently or sequentially with no specific time limits, wherein such administration provides therapeutically effective levels of the two compounds in the body of the patient.
- cocktail therapy e.g., the administration of three or more active ingredients.
- a subject in need refers to an animal, a non-human mammal or a human.
- mammals include a pet, a farm animal, an economic animal, a sport animal and an experimental animal, such as a cat, a dog, a horse, a cow, an ox, a pig, a donkey, a sheep, a lamb, a goat, a mouse, a rabbit, a chicken, a duck, a goose, a primate, including a monkey and a chimpanzee.
- the present invention provides for a method for treating or preventing an autoimmune disease or condition in a subject, which method comprises administering, to a subject in need, or to cells of said subject, an effective amount of a nanoparticle comprising a) an inner core comprising a non-cellular material, b) an outer surface comprising a cellular membrane comprising a self-antigen that targets an autoreactive component of said autoimmune disease or condition, wherein optionally when said cellular membrane is derived from a red blood cell, said method is not used for treating or preventing an autoimmune hemolytic disease or condition in said subject.
- the present methods can be used to treat or prevent an autoimmune disease or condition in any suitable subject.
- the mammal is a human.
- the mammal is a non-human mammal, including a pet, a farm animal, an economic animal, a sport animal and an experimental animal, a cat, a dog, a horse, a cow, an ox, a pig, a donkey, a sheep, a lamb, a goat, a mouse, a rabbit, or a primate, including a monkey and a chimpanzee.
- the present methods can be used for treating an autoimmune disease or condition in any suitable subject.
- the present methods can be used for preventing an autoimmune disease or condition in any suitable subject.
- the nanoparticle used in the present methods can target any suitable auto- reactive component.
- the nanoparticle can target an auto-reactive immunoglobulin, or an auto-reactive cell, e.g. , an auto-reactive B cell, an auto-reactive T cell, or an auto-reactive lymphocyte.
- the cellular membrane of the nanoparticle used in the present methods can be derived from any suitable cell or cellular source.
- the cellular membrane can be derived from a red blood cell, a platelet, an epidermal cell, an epidermal-dermal junction, myelin of a nerve or a Schwann cell, a pancreatic islet cell, a mitochondrial or a bacterium.
- the cellular membrane is derived from a red blood cell.
- Such nanoparticle can be used to sequester or neutralize an anti-RBC auto-reactive cell or autoantibody, e.g., an anti-glycophorin A (GPA) autoantibody or an anti-ganalioside autoantibody associated with Guillain-Barr syndrome.
- GPA anti-glycophorin A
- the cellular membrane is derived from a platelet.
- Such nanoparticle can target any suitable anti-platelet auto-reactive cell or autoantibody, e.g. , an anti-platelet autoantibody responsible for thrombocytopenia, preventing the activation and destruction of functional platelets, hemorrhage or microthrombi in thrombocytopenic purpura.
- the cellular membrane is derived from an epidermal cell.
- Such nanoparticle can target any suitable anti-epidermal cell auto-reactive cell or autoantibody, e.g. , an anti-desmoglein autoantibody responsible for pemphigus vulgaris.
- the cellular membrane is derived from an epidermal- dermal junction.
- Such nanoparticle can target any suitable anti-epidermal-dermal junction auto-reactive cell or autoantibody, e.g., an anti-dystonin autoantibody responsible for bullous pemphigoid.
- the cellular membrane is derived from myelin of a nerve or a Schwann cell.
- Such nanoparticle can target any suitable anti-myelin auto-reactive cell or autoantibody, e.g. , an anti-myelin basic protein responsible for multiple sclerosis.
- the cellular membrane is derived from a pancreatic islet cell.
- Such nanoparticle can target any suitable anti-islet cell auto-reactive cell or autoantibody, e.g. , an anti-islet cell responsible for diabetes mellitus.
- the nanoparticle can target an anti-ganglioside autoantibody responsible for Guillain-Barr syndrome.
- the anti-ganglioside autoantibody can be an anti-GD3 autoantibody, an anti-GMl autoantibody, an anti-GQ3 autoantibody, or an anti-GTl autoantibody.
- the cellular membrane is derived from an inner mitochondrial or a bacteria membrane.
- Such nanoparticle can target any suitable anti- inner mitochondrial or bacteria auto-reactive cell or autoantibody, e.g. , an anti-phospholid or anti-cardiolipin autoantibody responsible for antiphospholid syndrome.
- the present methods can be used to treat or prevent immune thrombocytopenic purpura associated with an anti-CD36 and/or an anti-GP Ilb- Illa autoantibody, pemphigus vulgaris associated with an anti-epithelial cadherin protein autoantibody, or multiple sclerosis associated with an anti-myelin protein autoantibody.
- the present methods can use any suitable nanoparticle.
- the inner core of the nanoparticle can comprise a biocompatible or a synthetic material, such as poly(lactic-c -glycolic acid) (PLGA), polylactic acid (PLA), polyglycolic acid (PGA), polycaprolactone (PCL), polylysine, and polyglutamic acid.
- the inner core of the nanoparticle supports the outer surface.
- the nanoparticle can comprise any suitable cellular membrane derived from a cell or a cellular source, e.g., a red blood cell.
- the nanoparticle can comprise a plasma membrane or an intracellular membrane derived from a cell, e.g. , a red blood cell.
- the cellular membrane comprises a plasma membrane derived from a red blood cell, e.g., a plasma membrane derived from a human red blood cell.
- the nanoparticle can comprise any suitable naturally occurring cellular membrane derived from a cell, e.g. , a red blood cell.
- the cellular membrane comprises a naturally occurring plasma membrane derived from a red blood cell, e.g. , a naturally occurring plasma membrane derived from a human red blood cell.
- the present methods can use a nanoparticle that further comprises a releasable cargo.
- the nanoparticle can comprise a releasable cargo at any suitable location.
- the releasable cargo can be located within or on the inner core, between the inner core and the outer surface, or within or on the outer surface.
- the release of the releasable cargo can be triggered by any suitable mechanisms.
- the release of the releasable cargo can be triggered by a contact between the nanoparticle and the subject or by a change of a physical parameter surrounding the nanoparticle.
- the nanoparticle can comprise any suitable type of releasable cargo.
- the releasable cargo can be a therapeutic agent, a prophylactic agent, a diagnostic or marker agent, a prognostic agent, or a combination thereof.
- the therapeutic agent can be a cytotoxic drug capable of cell killing. Any suitable cytotoxic drugs can be used.
- cytotoxic drugs can be an anthracycline, e.g., doxorubicin or daunorubicin, a taxane, e.g., docetaxel or paclitaxel, or an immunosuppressive agent, e.g. , methotrexate or cyclosporin A.
- the releasable cargo can be a metallic particle, a polymeric particle, a dendrimer particle, or an inorganic particle or the releasable cargo can be in the form of a metallic particle, a polymeric particle, a dendrimer particle, or an inorganic particle.
- the nanoparticle targets an auto-reactive cell, e.g., an auto-reactive B cell, an auto-reactive T cell, or an auto-reactive lymphocyte.
- the nanoparticle can further comprise a cytotoxic drug capable of cell killing. Any suitable cytotoxic drugs can be used.
- cytotoxic drugs can be an anthracycline, e.g., doxorubicin or daunorubicin, a taxane, e.g. , docetaxel or paclitaxel, or an immunosuppressive agent, e.g. , methotrexate or cyclosporin A.
- the nanoparticle can comprise a cellular membrane derived from any suitable cell or cellular source, e.g. , a cellular membrane derived from a red blood cell, a platelet, an epidermal cell, an epidermal-dermal junction, myelin of a nerve or a Schwann cell, a pancreatic islet cell, a mitochondrial or a bacterium.
- a cellular membrane derived from any suitable cell or cellular source e.g. , a cellular membrane derived from a red blood cell, a platelet, an epidermal cell, an epidermal-dermal junction, myelin of a nerve or a Schwann cell, a pancreatic islet cell, a mitochondrial or a bacterium.
- the nanoparticle can have any suitable size.
- the nanoparticle can have a diameter from about 10 nm to about 10 ⁇ .
- the diameter of the nanoparticle is about 10 nm, 20 nm, 30 nm, 40 nm, 50 nm, 60 nm, 70nm, 80 nm, 90 nm, 100 nm, 110 nm, 120 nm, 130 nm, 140 nm, 150 nm, 200 nm, 300 nm, 400 nm, 500 nm, 600 nm, 700 nm, 800 nm, 900 nm, 1 ⁇ , 2 ⁇ , 3 ⁇ , 4 ⁇ , 5 ⁇ , 6 ⁇ , 7 ⁇ , 8
- the nanoparticle can have any suitable shape, including but not limited to, sphere, square, rectangle, triangle, circular disc, cube-like shape, cube, rectangular parallelepiped (cuboid), cone, cylinder, prism, pyramid, right-angled circular cylinder and other regular or irregular shape.
- the nanoparticle substantially lacks constituents of the cell, e.g., red blood cell, from which the cellular membrane is derived.
- the nanoparticle can lack about 10%, 20%, 30%, 40%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 91 %, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% of the constituents of the cell, e.g., red blood cell, from which the cellular membrane is derived.
- the nanoparticle comprises a plasma membrane derived from a red blood cell and the nanoparticle substantially lacks hemoglobin.
- the nanoparticle can lack about 10%, 20%, 30%, 40%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 91 %, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% of the hemoglobin.
- the nanoparticle substantially maintains the natural structural integrity or activity of the cellular membrane or the constituents of the cellular membrane so that the nanoparticle functions as decoy for the subject's cells, e.g., red blood cells.
- the nanoparticle can retain about 10%, 20%, 30%, 40%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 91 %, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% of the natural structural integrity for functioning as decoy for the subject's cells, e.g. , red blood cells.
- the nanoparticle is biocompatible or biodegradable.
- the inner core of the nanoparticle may comprise PLGA and the outer surface of the nanoparticle may comprise a plasma membrane derived from a cell, e.g. , a red blood cell.
- the nanoparticle can have any suitable half-life in vivo.
- the nanoparticle can have a half-life in blood circulation in vivo for at least about 2-5 times of the half-life of a PEG-coated, comparable nanoparticle, or have a half-life in blood circulation in vivo for at least about 1 to about 40 hours.
- the outer surface of the nanoparticle used in the present methods can comprise a synthetic membrane.
- the nanoparticles used in the present methods comprise a mixture of nanoparticles that comprise an outer surface comprising a cellular membrane and nanoparticles that comprise an outer surface comprising a synthetic membrane.
- the nanoparticles that comprise an outer surface comprising a synthetic membrane may or may not comprise a self-antigen that targets an auto-reactive component of an autoimmune disease or condition in a subject.
- both the nanoparticles that comprise an outer surface comprising a cellular membrane and nanoparticles that comprise an outer surface comprising a synthetic membrane comprise a self-antigen that targets an auto-reactive component of an autoimmune disease or condition in a subject.
- the nanoparticles that comprise an outer surface comprising a cellular membrane comprise a self-antigen that targets an auto- reactive component of an autoimmune disease or condition in a subject, but the nanoparticles that comprise an outer surface comprising a synthetic membrane do not comprise a self-antigen that targets an auto-reactive component of an autoimmune disease or condition in a subject.
- the composition used in the present methods can comprise the nanoparticles that comprise an outer surface comprising a cellular membrane and nanoparticles that comprise an outer surface comprising a synthetic membrane in any suitable ratio.
- the present composition can comprise at least about 1 % (w/w), 2% (w/w), 3% (w/w), 4% (w/w), 5% (w/w), 6% (w/w), 7% (w/w), 8% (w/w), 9% (w/w), 10% (w/w), 20% (w/w), 30% (w/w), 40% (w/w), 50% (w/w), 60% (w/w), 70% (w/w), 80% (w/w), 90% (w/w), 91 % (w/w), 92% (w/w), 93% (w/w), 94% (w/w), 95% (w/w), 96% (w/w), 97% (w/w), 98% (w/w), 99% (w/w), or more of the nanoparticle
- the present composition can comprise at least about 1 % (w/w), 2% (w/w), 3% (w/w), 4% (w/w), 5% (w/w), 6% (w/w), 7% (w/w), 8% (w/w), 9% (w/w), 10% (w/w), 20% (w/w), 30% (w/w), 40% (w/w), 50% (w/w), 60% (w/w), 70% (w/w), 80% (w/w), 90% (w/w), 91 % (w/w), 92% (w/w), 93% (w/w), 94% (w/w), 95% (w/w), 96% (w/w), 97% (w/w), 98% (w/w), 99% (w/w), or more of the nanoparticles that comprise an outer surface comprising a synthetic membrane.
- the composition used in the present methods can comprise about 1 -10% (w/w) of the nanoparticles that comprise an outer surface comprising a cellular membrane and about 90-99% (w/w) of the nanoparticles that comprise an outer surface comprising a synthetic membrane, about 11-25% (w/w) of the nanoparticles that comprise an outer surface comprising a cellular membrane and about 75-89% (w/w) of the nanoparticles that comprise an outer surface comprising a synthetic membrane, about 50% (w/w) of the nanoparticles that comprise an outer surface comprising a cellular membrane and about 50% (w/w) of the nanoparticles that comprise an outer surface comprising a synthetic membrane, about 51-75% (w/w) of the nanoparticles that comprise an outer surface comprising a cellular membrane and about 49-25% (w/w) of the nanoparticles that comprise an outer surface comprising a synthetic membrane, or about 90-100% (w/w) of the nanoparticles that comprise an outer surface comprising a synthetic membrane,
- the outer surface of the nanoparticle can comprise a hybrid membrane comprising a cellular membrane derived from a cell and a synthetic membrane.
- the outer surface of the nanoparticle can comprise a hybrid membrane comprising at least about 5% (w/w), 6% (w/w), 7% (w/w), 8% (w/w), 9% (w/w), 10% (w/w), 20% (w/w), 30% (w/w), 40% (w/w), 50% (w/w), 60% (w/w), 70% (w/w), 80% (w/w), 90% (w/w), 91 % (w/w), 92% (w/w), 93% (w/w), 94% (w/w), 95% (w/w), 96% (w/w), 97% (w/w), 98% (w/w), 99% (w/w) of a cellular membrane.
- the outer surface of the nanoparticle can comprise a hybrid membrane comprising at least about 1 % (w/w), 2% (w/w), 3% (w/w), 4% (w/w), 5% (w/w), 6% (w/w), 7% (w/w), 8% (w/w), 9% (w/w), 10% (w/w), 20% (w/w), 30% (w/w), 40% (w/w), 50% (w/w), 60% (w/w), 70% (w/w), 80% (w/w), 90% (w/w), 91 % (w/w), 92% (w/w), 93% (w/w), 94% (w/w), 95% (w/w) of a synthetic membrane.
- the outer surface of the nanoparticle can comprise a hybrid membrane comprising about 5-10% (w/w) of a cellular membrane and about 90-95% (w/w) of a synthetic membrane, about 11-25% (w/w) of a cellular membrane and about 75-89% (w/w) of a synthetic membrane, about 50% (w/w) of a cellular membrane and about 50% (w/w) of a synthetic membrane, about 51-75% (w/w) of a cellular membrane and about 49-25% (w/w) of a synthetic membrane, or about 90-99% (w/w) of a cellular membrane and about 1 -10% (w/w) of a synthetic membrane.
- a hybrid membrane comprising about 5-10% (w/w) of a cellular membrane and about 90-95% (w/w) of a synthetic membrane, about 11-25% (w/w) of a cellular membrane and about 75-89% (w/w) of a synthetic membrane, about 50% (w/w) of a cellular membrane and about
- the nanoparticle substantially lacks immunogenicity to the subject.
- the cellular membrane can be derived from a cell, e.g. , a red blood cell, from the same species of the subject.
- the subject is a human and the cellular membrane is derived from a human cell, e.g., a human red blood cell.
- the cellular membrane can be derived from a cell, e.g., a red blood cell, of the subject to be treated.
- the cellular membrane can be derived from a red blood cell of the human to be treated.
- the present methods can further comprise administering another active ingredient to the subject.
- the other active ingredient can be used for treating or preventing an autoimmune disease or condition in a subject.
- the present methods can further comprise administering a pharmaceutically acceptable carrier or excipient to the mammal.
- the nanoparticle can be administered using any suitable delivery mechanisms or techniques.
- the nanoparticle can be administered alone.
- the nanoparticle can be administered with a pharmaceutically acceptable carrier or excipient.
- the nanoparticle can be administered via a medicament delivery system.
- the present methods can further comprise assessing efficacy of the nanoparticle and/or another active ingredient in treating or preventing an autoimmune disease or condition in a subject.
- the efficacy of a nanoparticle and/or another active ingredient in an autoimmune disease or condition in a subject can be assessed using any suitable tests.
- the efficacy of a nanoparticle can be assessed by at least two of the tests, e.g. , 2, 3, 4, 5, 6, 7, 8 or 9 of the tests.
- the nanoparticle, alone or in combination with other active ingredient(s), can be administered via any suitable administration routes.
- the nanoparticle, alone or in combination with other active ingredient(s) can be administered via oral, parenteral, rectal, nasal, topical, or ocular routes, or by inhalation.
- Exemplary parenteral administration routes include intravenous, intramuscular, intraperitoneal, intranasal, and subcutaneous routes.
- the present invention is directed to a use of an effective amount of a nanoparticle for the manufacture of a medicament for treating or preventing an autoimmune disease or condition in a subject, wherein said nanoparticle comprises a) an inner core comprising a non-cellular material, b) an outer surface comprising a cellular membrane comprising a self-antigen that targets an auto-reactive component of said autoimmune disease or condition, and optionally when said cellular membrane is derived from a red blood cell, said medicament is not used for treating or preventing an autoimmune hemolytic disease or condition in said subject.
- the manufactured medicament can be used to treat or prevent an autoimmune disease or condition in a subject as described above.
- the present invention provides for a combination for treating or preventing an autoimmune disease or condition in a subject, which combination comprises an effective amount of a nanoparticle and an effective amount of a second prophylactic or therapeutic agent for treating or preventing an autoimmune disease or condition in a subject, wherein said nanoparticle comprises a) an inner core comprising a non-cellular material, b) an outer surface comprising a cellular membrane comprising a self-antigen that targets an auto-reactive component of said autoimmune disease or condition, and optionally when said cellular membrane is derived from a red blood cell, said combination is not used for treating or preventing an autoimmune hemolytic disease or condition in said subject.
- the present invention also provides for a pharmaceutical composition comprising the combination and a method for treating or preventing an autoimmune disease or condition in a subject using the combination or the pharmaceutical composition comprising the combination.
- a pharmaceutical composition comprising the combination and a method for treating or preventing an autoimmune disease or condition in a subject using the combination or the pharmaceutical composition comprising the combination.
- the combinations and the pharmaceutical compositions comprising the combinations can be used to treat or prevent an autoimmune disease or condition in a subject as described above.
- compositions comprising the nanoparticles, alone or in combination with other active ingredient(s), described herein may further comprise one or more pharmaceutically-acceptable excipients.
- a pharmaceutically-acceptable excipient is a substance that is non-toxic and otherwise biologically suitable for administration to a subject. Such excipients facilitate administration of the nanoparticles, alone or in combination with other active ingredient(s), described herein and are compatible with the active ingredient.
- examples of pharmaceutically-acceptable excipients include stabilizers, lubricants, surfactants, diluents, anti-oxidants, binders, coloring agents, bulking agents, emulsifiers, or taste-modifying agents.
- compositions according to the various embodiments are sterile compositions.
- Pharmaceutical compositions may be prepared using compounding techniques known or that become available to those skilled in the art. [00089] Sterile compositions are within the present disclosure, including compositions that are in accord with national and local regulations governing such compositions.
- compositions and the nanop articles alone or in combination with other active ingredient(s), described herein may be formulated as solutions, emulsions, suspensions, or dispersions in suitable pharmaceutical solvents or carriers, or as pills, tablets, lozenges, suppositories, sachets, dragees, granules, powders, powders for reconstitution, or capsules along with solid carriers according to conventional methods known in the art for preparation of various dosage forms.
- the nanoparticles alone or in combination with other active ingredient(s), described herein, and preferably in the form of a pharmaceutical composition, may be administered by a suitable route of delivery, such as oral, parenteral, rectal, nasal, topical, or ocular routes, or by inhalation.
- a suitable route of delivery such as oral, parenteral, rectal, nasal, topical, or ocular routes, or by inhalation.
- the compositions are formulated for intravenous or oral administration.
- the nanoparticles may be provided in a solid form, such as a tablet or capsule, or as a solution, emulsion, or suspension.
- a dosage of e.g. , from about 0.01 to about 50 mg/kg daily, or from about 0.05 to about 20 mg/kg daily, or from about 0.1 to about 10 mg/kg daily.
- Oral tablets may include the active ingredient(s) mixed with compatible pharmaceutically acceptable excipients such as diluents, disintegrating agents, binding agents, lubricating agents, sweetening agents, flavoring agents, coloring agents and preservative agents.
- suitable inert fillers include sodium and calcium carbonate, sodium and calcium phosphate, lactose, starch, sugar, glucose, methyl cellulose, magnesium stearate, mannitol, sorbitol, and the like.
- Exemplary liquid oral excipients include ethanol, glycerol, water, and the like.
- Starch, polyvinyl-pyrrolidone (PVP), sodium starch glycolate, microcrystalline cellulose, and alginic acid are exemplary disintegrating agents.
- Binding agents may include starch and gelatin.
- the lubricating agent if present, may be magnesium stearate, stearic acid, or talc. If desired, the tablets may be coated with a material such as glyceryl monostearate or glyceryl distearate to delay absorption in the gastrointestinal tract, or may be coated with an enteric coating.
- Capsules for oral administration include hard and soft gelatin capsules. To prepare hard gelatin capsules, active ingredient(s) may be mixed with a solid, semi-solid, or liquid diluent. Soft gelatin capsules may be prepared by mixing the active ingredient with water, an oil, such as peanut oil or olive oil, liquid paraffin, a mixture of mono and di-glycerides of short chain fatty acids, polyethylene glycol 400, or propylene glycol.
- Liquids for oral administration may be in the form of suspensions, solutions, emulsions, or syrups, or may be lyophilized or presented as a dry product for reconstitution with water or other suitable vehicle before use.
- Such liquid compositions may optionally contain: pharmaceutically-acceptable excipients such as suspending agents (for example, sorbitol, methyl cellulose, sodium alginate, gelatin, hydro xyethylcellu lose, carboxymethylcellulose, aluminum stearate gel and the like); non-aqueous vehicles, e.g., oil (for example, almond oil or fractionated coconut oil), propylene glycol, ethyl alcohol, or water; preservatives (for example, methyl or propyl p-hydroxybenzoate or sorbic acid); wetting agents such as lecithin; and, if desired, flavoring or coloring agents.
- suspending agents for example, sorbitol, methyl cellulose, sodium alginate, gelatin, hydro xyethy
- compositions may be formulated for rectal administration as a suppository.
- parenteral use including intravenous, intramuscular, intraperitoneal, intranasal, or subcutaneous routes, the nanoparticles, alone or in combination with other active ingredient(s), may be provided in sterile aqueous solutions or suspensions, buffered to an appropriate pH and isotonicity or in parenterally acceptable oil.
- Suitable aqueous vehicles can include Ringer's solution and isotonic sodium chloride.
- Such forms may be presented in unit-dose form such as ampoules or disposable injection devices, in multi-dose forms such as vials from which the appropriate dose may be withdrawn, or in a solid form or pre- concentrate that can be used to prepare an injectable formulation.
- Illustrative infusion doses range from about 1 to 1000 ⁇ g/kg/minute of agent admixed with a pharmaceutical carrier over a period ranging from several minutes to several days.
- the nanoparticles for nasal, inhaled, or oral administration, may be administered using, for example, a spray formulation also containing a suitable carrier.
- the nanoparticles, alone or in combination with other active ingredient(s), are preferably formulated as creams or ointments or a similar vehicle suitable for topical administration.
- the nanoparticles, alone or in combination with other active ingredient(s) may be mixed with a pharmaceutical carrier at a concentration of about 0.1% to about 10% of drug to vehicle.
- Another mode of administering the nanoparticles, alone or in combination with other active ingredient(s) may utilize a patch formulation to effect transdermal delivery.
- the present disclosure provides pharmaceutical composition comprising the nanoparticles, alone or in combination with other active ingredient(s), and methylcellulose.
- methylcellulose is in a suspension of about 0.1, 0.2, 0.3, 0.4, or 0.5 to about 1 %.
- methylcellulose is in a suspension of about 0.1 to about 0.5, 0.6, 0.7, 0.8, 0.9, or 1 %.
- methylcellulose is in a suspension of about 0.1 to about 1%.
- methylcellulose is in a suspension of about 0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.8, or 1%.
- methylcellulose is in a suspension of about 0.5%.
- “preventative” treatment is meant to indicate a postponement of development of a disease, a symptom of a disease, or medical condition, suppressing symptoms that may appear, or reducing the risk of developing or recurrence of a disease or symptom.
- “Curative” treatment includes reducing the severity of or suppressing the worsening of an existing disease, symptom, or condition.
- One of ordinary skill in the art may modify the formulations within the teachings of the specification to provide numerous formulations for a particular route of administration.
- the nanoparticles, alone or in combination with other active ingredient(s) may be modified to render them more soluble in water or other vehicle. It is also well within the ordinary skill of the art to modify the route of administration and dosage regimen of a particular nanoparticle, alone or in combination with other active ingredient(s), in order to manage the pharmacokinetics of the present compounds for maximum beneficial effect in a patient.
- the present invention provides compositions comprising self-antigen displaying nanoparticles, and methods of use thereof, for targeting auto- reactive immune factors for preventing and/or treating autoimmune diseases.
- the invention provides RBC membrane-cloaked nanoparticle functionalized with RBC antigens to absorb anti-RBC antibodies and prevent their binding to RBCs.
- the self-antigen displaying nanoparticles of the invention can also be loaded with cytotoxic drugs for targeted cell killing or with immune-tolerizing compounds to normalize the immune regulation.
- the present invention further provides that the inventive nanoparticle comprises a releasable cargo that can be located in any place inside or on the surface of the nanoparticle.
- the releaseable cargo is located within or on the inner core of the inventive nanoparticle.
- the releasable cargo is located between the inner core and the outer surface of the inventive nanoparticle.
- the releasable cargo is located within or on the outer surface of the inventive nanoparticle.
- a trigger for releasing the releasable cargo from the inventive nanoparticle includes, but is not limited to, a contact between the nanoparticle and a target cell, tissue, organ or subject, or a change of an environmental parameter, such as the pH, ionic condition, temperature, pressure, and other physical or chemical changes, surrounding the nanoparticle.
- the releasable cargo comprises one or more therapeutic agent, prophylactic agent, diagnostic or marker agent, prognostic agent, or a combination thereof.
- therapeutic agents include, but are not limited to, an antibiotic, an antimicrobial, a growth factor, a chemotherapeutic agent, or a combination thereof.
- diagnostic or prognostic agent can be an imaging marker.
- the releasable cargo is a metallic particle comprising a gold particle, a silver particle, or an iron oxide particle.
- the releasable cargo is a polymeric particle comprising a poly(lactic-co-glycolic acid) (PCL) particle, a chitosan particle, a hydroxypropyl methacrylamide copolymer (IIPMA) particle.
- the releasable cargo is a dendrimer particle or an inorganic particle comprising a silica particle, a porous silica particle, a phosphate calcium particle or a quantum dot, or a metallic particle comprising a gold particle, a silver particle, or an iron oxide particle.
- the present invention further provides that the inventive nanoparticle can be in any suitable shape, including, but not limited to, sphere, square, rectangle, triangle, circular disc, cube-like shape, cube, rectangular parallelepiped (cuboid), cone, cylinder, prism, pyramid, right-angled circular cylinder, or other regular or irregular shape, and has a diameter from about 10 nm to about 10 ⁇ .
- the inventive nanoparticle has a diameter from about 50 nm to about 500 nm.
- the nanoparticle of the present invention is biocompatible and/or biodegradable.
- the nanoparticle of the present invention comprises the cellular plasma membrane derived from a red blood cell and an inner core comprising poly(lactic-co-glycolic acid) (PLGA), wherein the nanoparticle substantially lacks hemoglobin and has a half-life in blood circulation in vivo for at least about 2-5 times the half-life of a nanoparticle having a poly(lactic-co-glycolic acid) (PLGA) inner core coated with polyethylene glycol (PEG).
- PLGA poly(lactic-co-glycolic acid)
- PEG polyethylene glycol
- such nanoparticle has a half-life in blood circulation in vivo for at least about 5 to about 40 hours.
- the present invention also provides a pharmaceutical composition comprising a medicament delivery system comprising an effective amount of the nanoparticle of the present invention.
- the pharmaceutical composition of the present invention further comprises one or more additional active ingredient, with or without a medically or pharmaceutically acceptable carrier or excipient that can be administered along with or in combination with the nanoparticle of the present invention.
- the inventive pharmaceutical composition or the medicament delivery system comprising the nanoparticle of the present invention can be administered via any suitable administration route, including but not limited to, oral, nasal, inhalational, parental, intravenous, intraperitoneal, subcutaneous, intramuscular, intradermal, topical, or rectal route.
- the inventive method is used for treating or preventing autoimmune disease or pathological condition.
- a subject in need refers to an animal, a non-human mammal or a human.
- mammals include a pet, a farm animal, an economic animal, a sport animal and an experimental animal, such as a cat, a dog, a horse, a cow, an ox, a pig, a donkey, a sheep, a lamb, a goat, a mouse, a rabbit, a chicken, a duck, a goose, a primate, including a monkey and a chimpanzee.
- the cellular membrane of the nanoparticle used for the inventive method is derived from a cell of the same species of the subject. In certain embodiments, the cellular membrane of the nanoparticle used for the inventive method is derived from a red blood cell of the same species of the subject and the red blood cell has the same blood type of the subject. In certain embodiments, the cellular membrane of the nanoparticle used in the inventive method is derived from a cell of the subject.
- the present invention further provides that the inventive methods for treating or preventing an autoimmune disease, disorder, or condition further comprises administering to a subject in need one or more other active ingredient with or without a pharmaceutically acceptable carrier, adjuvant, or excipient, along or in combination with the pharmaceutical composition or medicament delivery system comprising the nanoparticles of the present invention.
- the inventive methods further provide that the nanoparticle of the present invention is administered to a target site of the subject in need, including but not limited to, a target dermal site, blood or plasma, a target organ, a target tumor site, or target cells, and further provides a mechanism to trigger the release of a releasable cargo at the target site.
- Mechanisms for triggering the releasable cargo include, but are not limited to, a contact between the nanoparticle of the present invention and a target cell, tissue, organ or subject, or a change of an environmental parameter, such as the pH, ionic condition, temperature, pressure, and other physical or chemical changes, surrounding the nanoparticle of the present invention.
- a nanoparticle platform displaying self-antigens to target the auto-reactive components in autoimmune disease was developed.
- Self-antigen displaying nanoparticles were prepared via a cell membrane cloaking technique, in which cellular membranes and proteins are translocated onto polymeric nanoparticles ( Figure 1).
- Figure 1 The following studies demonstrate the ability of these nanoparticles to sequester and neutralize autoantibodies.
- these biomimetic nanoparticles can also be applied to deliver drugs to selectively deplete B cells and T cells possessing self-antigen receptors. Such scheme can selectively eradicate the pathologic immune components without compromising other immune functions.
- these biomimetic nanoparticles can be loaded with immune-tolerizing compounds to normalize the immune regulation while also alleviating pathology related to the autoantibody.
- Red blood cell (RBC) membrane cloaked nanoparticles were applied to neutralize anti-RBC antibodies, which are the primary auto-reactive immune factor in autoimmune hemolytic anemia (AIHA).
- AIHA has one the best established pathophysiology regarding autoantibodies, and is a co-autoimmune disease of many of the most common autoimmune diseases (Systemic Lupus Erythema, Rheumatoid Arthritis, Scleroderma, Ulcerative Colitis) as well as being associated with diseases such as HIV, CLL, and Hodkin's Lymphoma (4,5).
- Red blood cell membrane coated poly(lactic-co- glycolic acid) particles approximately 120nm in size were applied to sequester the autoantibodies known to cause AIHA.
- These particles are inert particles, but functionally coated with the antigens targeted by warm-agglutinins and anti- RBC IgG in AIHA. Due to beneficial surface area to size ratio that exists between nanoparticles and red blood cells and favorable kinetics of interaction, these nanoparticles are capable of absorbing the auto-antibodies and preventing hemolysis and resultant anemia that typically occurs from this disease.
- the self-antigen displaying nanoparticles can be applied to target auto-reactive B cells and T cells.
- the particles can be loaded with cytotoxic drugs such as cyclosporine, cyclophosphamide, methotrexate and other chemotherapies capable of cell killing.
- cytotoxic drugs such as cyclosporine, cyclophosphamide, methotrexate and other chemotherapies capable of cell killing.
- cytotoxic drugs such as cyclosporine, cyclophosphamide, methotrexate and other chemotherapies capable of cell killing.
- cytotoxic drugs such as cyclosporine, cyclophosphamide, methotrexate and other chemotherapies capable of cell killing.
- the nanoparticles functionalized with these self-antigens will serve as decoy targets for the lymphocytes.
- the nanoparticle upon binding to the auto-reactive lymphocytes, the nanoparticle can release its cytotoxic payload, thereby
- binding of RBC membrane cloaked nanoparticles to anti-glycophorin A hybridoma cells and anti-measles nuclear protein hybridoma cells was compared.
- the anti-glycophorin A hybridoma cells are known to generate antibodies against glycophorin A, which is a major membrane protein on the surface of RBCs.
- B cell receptors with glycophorin A specificity On the other hand, anti-measles hybridoma cells are devoid of membrane receptors to RBC antigens.
- Figure 2 shows that fluorescently labeled RBC-membrane coated nanoparticles are effective at targeting the Anti-GPA human hybridoma cells as compared to anti- measles hybridoma cells.
- the RBC membrane coated particles may also be applied against anti-ganglioside antibodies, which are implicated in disease pathology of Guillain-Barre syndrome. Gangliosides are present in all cellular membranes and the RBC membrane coated particle is particularly long circulating and a great initial candidate to explore in this disease process.
- the present invention is not limited to the RBC membrane cloaked nanoparticles.
- the approach is expandable as the polymeric core is capable of being coated by a variety of membranes.
- nanoparticles can be coated with platelet membrane.
- Platelet membrane is the target of anti-platelet autoantibodies responsible for the cause of thrombocytopenia in thrombotic thrombocytopenic purpura (TTP) and immune thrombocytopenic purpura (ITP). These particles can be administered to bind anti-platelet antibodies and prevent the activation and destruction of functional platelets, preventing hemorrhage and microthrombi which lead to significant morbidity.
- This platform can be further expanded to incorporate other biological membranes on the surface of polymeric or biologically compatible cores to neutralize the antibodies and aberrant cell populations in other diseases.
- Other disease targets include but are not limited to pemphigus vulgaris (using epidermal cell membrane) (6), myasthenia gravis and multiple sclerosis (myelin membrane) (7), and Type 1 Diabetes (beta cell membrane) (8).
- Examples of biological membranes with targeting potential against specific autoimmune diseases can be found in Table 1 below. Table 1. Examples of autoimmune diseases and the targeted cell membranes in these diseases.
- the invention is not limited to self-antigen displaying nanoparticles prepared via the membrane cloaking technique. Nanoparticles functionalized with individual self-antigen proteins via chemical conjugations and surface adsorptions are also included in the present invention. Self-antigens identified as targets in specific autoimmune diseases can be decorated onto nanoparticle surfaces to target auto-reactive immune factors.
- Examples of identified self antigens implicated in autoimmune diseases include but are not limited to band-3 and glycophorin proteins in autoimmune hemolytic anemia (9,10), CD36 and GP Ilb-IIIa in immune thrombocytopenic purpura (11 , 12), epithelial cadherin proteins in pemphigus vulgaris (6), and myelin proteins in multiple sclerosis (7,13).
- the present invention is further illustrated by the following exemplary A method for treating or preventing an autoimmune disease or condition in a subject in need comprising administering to said subject an effective amount of composition comprising self-antigen displaying nanoparticles to target autoreactive components of said autoimmune disease or condition.
- said cellular membrane is derived from a variety of cells or cellular components selected from the group consisting of red blood cells (RBCs), platelets, epidermal cells, epidermal-dermal junction, myelin of nerves or Schwann cells, pancreatic islet cells, lipids, and inner microchondrial and bacteria.
- RBCs red blood cells
- platelets epidermal cells
- epidermal-dermal junction myelin of nerves or Schwann cells
- pancreatic islet cells lipids
- inner microchondrial and bacteria inner microchondrial and bacteria
- anti-RBC autoantibody is an anti- glycophorin A (GPA) or anti-ganalioside responsible for Guillain-Barr syndrome.
- GPA glycophorin A
- cellular membrane is derived from platelets, and wherein the platelet membrane cloaked nanoparticles target antiplatelet autoantibodies responsible for thrombocytopenia, preventing the activation and destruction of functional platelets, hemorrhage and microthrombi in thrombocytopenic purpura.
- said cellular membrane is derived from epidermal cells, and wherein said epidermal cell membrane cloaked nanoparticles target anti-desmoglein autoantibodies responsible for pemphigus vulgaris.
- autoimmune disease or condition is selected from the group consisting of band-3 and glycophorin proteins in autoimmune hemolytic anemia, CD36 and GP Ilb-IIIa in immune thrombocytopenic purpura, epithelial cadherin proteins in pemphigus vulgaris, and myelin proteins in multiple sclerosis. 18. The method of embodiment 1 , wherein said self-antigen displaying nanoparticles further comprise cytotoxic drugs capable of cell killing.
- the medicament delivery system comprising the pharmaceutical composition of embodiment 19.
- Type-II immune hypersensitivities are driven by pathologic antibodies targeting self- antigens, either naturally occurring or due to exposure to an exogenous substance present on the cellular exterior or extracellular matrix.
- This disease type makes up many of the most prevalent autoimmune diseases including pernicious anemia, Grave' s disease, myasthenia gravis as well as autoimmune hemolytic anemia and immune thrombocytopenia (1-4). In addition, they may occur after the administration of a new drug or following certain infections.
- therapies for these immune-mediated diseases remain relatively nonspecific via broad immune suppression (5). For instance, comprehensive immune suppression through systemic glucocorticoids (i.e. prednisone, methylprednisolone), cytotoxic drugs (i.e.
- cyclophosphamide methotrexate, azothioprine
- monoclonal antibodies i.e. rituximab, belimumab, infliximab
- DIA which can be the result of drug-hapten antibodies or drug-independent auto-antibodies, is treated much the same way with the discontinuance of the offending drug and, much more often than in AIHA, performing blood transfusions (15, 16).
- RBC-ANS RBC antibody nanosponges
- these biomimetic nanoparticles have no drug payload to suppress normal lymphocytes or immune effector cells. Additionally, unlike blood transfusions, which serve as a replacement therapy, the RBC-ANS serve to deplete circulating antibody levels, without contributing further toxic metabolites due to the hemolysis of transfused cells. Moreover, it has been demonstrated in animal models of autoimmune diseases that the primary target antigens can vary and shift over the course of the diseases (23). Exploiting target cell membranes in their entirety overcomes the varying antigen specificities and presents a novel approach in intercepting the auto- reactive antibody mechanism of type-II immune hypersensitivity reactions.
- RBC-ANS was constructed following a previously reported protocol (21), in which purified mouse RBC membrane was mechanically extruded with 100 nm poly(lactic-co-glycolic acid) (PLGA) polymeric cores.
- the resulting nanoparticles revealed a core-shell structure under transmission electron microscopy (TEM) that corresponds to unilamellar membrane coatings over the nanoparticle cores ( Figure 4A).
- TEM transmission electron microscopy
- Figure 4B Physicochemical characterizations showed that upon RBC membrane coating, the nanoparticles had a -20 nm increase in diameter and a 10 mV increase in surface zeta potential (Figure 4B), which were consistent with addition of RBC membrane to the particle surface (24).
- RBC-ANS were pre- incubated with anti-RBC before mixing with 5% RBC solution ( Figures 5 A & 5B) and to test competitive binding capacity, RBC-ANS was added simultaneously with anti-RBC to 5% RBC solution ( Figures 5C & 5D). After separating the RBCs from any unbound antibodies and RBC-ANS, fluorescent signal associated with the RBCs was measured using flow cytometric analysis. Both pre-incubation and co-incubation studies showed dose-dependent antibody neutralization.
- mice received 100 ⁇ g of anti-RBC daily, through intraperitoneal injection, followed by an intravenous injection of 2 mg of either RBC-ANS, PEG-NP, or PBS daily for 4 days. Blood was obtained daily for the duration of the experiment to assess RBC count, hemoglobin and hematocrit. Starting from day 2, significant benefit in anemia related parameters was observed in the RBC-ANS-treated group as compared to PEG-NP control mice and vehicle only mice ( Figures 7A-7C). The inability for PEG-NP to prevent anemia further supports the antigen-specific clearance of anti-RBC mediated by RBC-ANS as opposed to the preservation of RBCs via saturation of the mononuclear phagocyte system (27, 28).
- Autoimmune diseases which include type-II, type-Ill, and type-IV immune hypersensitivity reactions, are known to attack almost every body tissue, make up over 50 diseases, and contribute to over $65 billion in healthcare costs annually (29).
- AIHA was attributed to an autoantibody in 1904 by Donath and Landsteiner and the mechanism of extravascular hemolysis described by Metchinkoff in 1905, making it the first disease known to be caused by this mechanism (30).
- the etiology is often idiopathic, it can be induced by drugs (cephalosporins, chemotherapies, quinines) as well as malignancies and viral infections (25, 26, 30).
- the final common disease pathway is the generation of antibodies against RBC membrane components, typically rhesus group and glycophorins, by a B-lymphocyte population that has lost self-tolerance to RBC surface-antigen(s) (31).
- RBC membrane components typically rhesus group and glycophorins
- the pathologic mechanism is IgG-mediated attack that leads to the opsonization of RBCs for extravascular destruction by phagocytes.
- AIHA can also be induced by IgM-mediated attack on RBCs, which causes RBC intravascular hemolysis via activation of the complement system (26, 30, 32, 33).
- Nanoparticles have already shown promise in reducing the risk of systemic toxicity of chemotherapy while increasing efficacy both in emerging literature and clinically (38-40). This example demonstrated that nanoparticles can be engineered to intercept binding between pathologic antibodies and their target cells to favorably impact disease status.
- the particular approach offers a novel therapeutic intervention for type-II immune hypersensitivity reactions by targeting a final pathologic mechanism and presents an attractive alternative to broad-spectrum immune suppression.
- RBC-ANS RBC Antibody Nanosponges
- RBC-ANS were prepared following previously described methods (21). Briefly, -100 nm PLGA polymeric cores were prepared using 0.67dL/g carboxy-terminated 50:50 poly(DL-lactide-co- glycolide) (LACTEL Absorbable Polymers, Cupertino, CA) in a nanoprecipitation process. The PLGA polymer was first dissolved in acetone at a 10 mg/mL concentration. 1 mL of the solution was then added rapidly to 3 mL of water.
- LACTEL Absorbable Polymers Cupertino, CA
- RBC membrane coating was then completed by fusing RBC membrane vesicles with PLGA particles via sonication using an FS30D bath sonicator at a frequency of 42 kHz and a power of 100 W for 2 min.
- the size and the zeta potential of the resulting RBC-ANS were obtained from three dynamic light scattering (DLS) measurements using a Malvern ZEN 3600 Zetasizer, which showed an average hydrodynamic diameter of -100 and -115 nm before and after the membrane coating process, respectively.
- the structure of RBC- ANS was examined with transmission electron microscopy (TEM).
- PEGylated PLGA nanoparticle was prepared using poly( ethylene glyocol) methyl ether-block-poly(lactide-co-glycolide) (PEG-PLGA) (Sigma Aldrich, St. Louis, MO).
- the PEG-PLGA polymer was dissolved in acetone at 10 mg/mL and 1 mL solution was added to 3 mL of water.
- DiD was loaded into the polymeric cores at 0.1 wt%. The mixture was then stirred in open air for 1 hr and subsequently placed in vacuum for another 3 hr.
- RBC-ANS were prepared at 1 mg/mL in lx Dulbecco' s phosphate buffered saline (PBS) (GIBCO, Grand Island, NY) and serially diluted to make 5 solutions (1 mg/mL, 500 ⁇ g/mL, 250 ⁇ g/mL, 100 ⁇ g/mL, 50 ⁇ g/mL) with lx PBS as control.
- PBS Dulbecco' s phosphate buffered saline
- 5 solutions (1 mg/mL, 500 ⁇ g/mL, 250 ⁇ g/mL, 100 ⁇ g/mL, 50 ⁇ g/mL
- these solutions were combined with 50 ⁇ g anti-RBC and incubated for 2 min at 37°C before the addition of 1 mL of washed 5% mouse RBC solution.
- RBC-ANS and anti- RBC were added simultaneously to 1 mL of 5% RBC solution. Each experiment was done in triplicate. Samples were allowed to incubate for 10 min at 37°C and then washed three times in lx PBS to thoroughly remove supernatant and collect RBC pellet. Flow cytometry was used to measure the FITC signal of the collected RBC population using a Becton Dickinson FACSCanto II. Flow cytometry data was analyzed using Flowjo software from Treestar. [000137] RBC Agglutination Titration. The experiment was carried out per manufacturer (Rockport Antibodies and Assays) instructions.
- mice were randomized to three groups of 10. Each group of mice received a 100 ⁇ intraperitoneal injection of 2 mg/mL anti-RBC on days 0, 1, 2 and 3. The treatment group also received a tail vein intravenous injection of 200 ⁇ of RBC-ANS (10 mg/mL) in lx PBS within 30 min of intraperitoneal antibody delivery.
- the PEG-NP group received an equivalent intravenous dose of PEG- NP and the anti-RBC only group received 200 ⁇ L ⁇ PBS via intravenous injection.
- RBC count, hemoglobin and hematocrit of each sample were recorded on days 0, 1, 2, 3, and 4.
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Abstract
L'invention concerne une composition, et un procédé d'utilisation de celle-ci, comprenant des nanoparticules présentant des auto-antigènes servant à cibler des composants immunitaires auto-réactifs pour le traitement et/ou la prévention des maladies auto-immunes associées à ceux-ci. Ces nanoparticules peuvent également être chargées de médicaments cytotoxiques pour l'élimination ciblée de cellules ou chargées de composés induisant une tolérance immunitaire afin de normaliser la régulation immunitaire.
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US10098839B2 (en) | 2014-03-20 | 2018-10-16 | The Regents Of The University Of California | Hydrogel toxin-absorbing or binding nanoparticles |
WO2019147845A1 (fr) * | 2018-01-26 | 2019-08-01 | Cellics Therapeutics, Inc. | Procédés et compositions de surveillance de membranes cellulaires ou de nanoparticules enrobées de membranes cellulaires |
CN110464874A (zh) * | 2019-08-30 | 2019-11-19 | 中国科学院深圳先进技术研究院 | 一种具有神经组织修复活性的聚合物材料及其制备方法和应用 |
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US11353466B2 (en) | 2018-01-18 | 2022-06-07 | Cellics Therapeutics, Inc. | Methods and compositions for quantifying hemoglobin |
WO2024044526A1 (fr) * | 2022-08-26 | 2024-02-29 | University Of Mississippi | Nanoparticules enrobées de liquide ionique d'auto-stop sur des globules rouges pour traverser la barrière hémato-encéphalique |
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WO2019147845A1 (fr) * | 2018-01-26 | 2019-08-01 | Cellics Therapeutics, Inc. | Procédés et compositions de surveillance de membranes cellulaires ou de nanoparticules enrobées de membranes cellulaires |
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